WADING RIVER MEDICAL CARE PC
NPI 1568844801
Internal Medicine in Wading River, NY

Active since June 23, 2015CLIA 33D1041217 · Waiver
5972 ROUTE 25A, WADING RIVER, NY 11792(631) 929-0304 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wading River Medical Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WADING RIVER MEDICAL CARE PC (NPI 1568844801) is a healthcare organization registered as an internal medicine in Wading River, New York and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Robert Bernard, Md, as its authorized official.

NPPES Registry Identity

NPI1568844801
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWADING RIVER MEDICAL CARE PC
Location Address5972 ROUTE 25AWading River, NY 11792-2001
Mailing Address5972 Route 25aWading River, NY 11792-2001
Organization SubpartNo
Authorized OfficialRobert BernardMd · (631) 929-0304
Enumeration DateJune 23, 2015
Last NPPES UpdateJuly 7, 2015
NPI 1568844801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5972 ROUTE 25A, Wading River, NY 11792

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1041217

Wading River Medical Care PC · Wading River, NY
Active · expires May 25, 2027
CLIA Number33D1041217
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorDr. Robert Bernard
Laboratory Phone(631) 929-0304
Laboratory LocationWading River Medical Care PC5972 Route 25A, Wading River, NY 11792
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5972 ROUTE 25A
WADING RIVER, NY 11792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wading River Medical Care PC's NPI number?

The NPI number for Wading River Medical Care PC is 1568844801. It was assigned to this organization in the NPPES registry on June 23, 2015.

Where is Wading River Medical Care PC located?

Wading River Medical Care PC is located at 5972 Route 25A, Wading River, NY 11792. The listed phone number is (631) 929-0304.

What is Wading River Medical Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Wading River Medical Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1041217) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wading River Medical Care PC was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.